2017 Nomination Form

2017 Nomination Form Florida Commission on the Status of Women 107 West Gaines Street Nominations deadline Tallahassee, FL 32301 July 15, 2016 Phone: 850-414-3300/Fax: 850-921-4131 www.fcsw.net .com/flcsw April 1, 2016 Dear Friends: It is with great pleasure that we announce the opening of the nomination period for the 2017 Florida Women’s Hall of Fame. This annual event celebrating the accomplishments of outstanding Florida women is tentatively scheduled for March 2017 at the Florida State Capitol in Tallahassee. Held each year, the Hall of Fame commemorates women’s history by honoring and remembering those women whose lives and contributions have positively affected both Florida and the nation. Florida continues to flourish because of its strong women leaders and their unceasing strides to improve the quality of life in our state. The Florida Women’s Hall of Fame gives us the opportunity to honor these remarkable women whose efforts helped build a brighter future for all Floridians. Biographies of current Hall of Fame members are available on our web page at www.fcsw.net.. With this in mind, we ask that you take time to nominate a deserving woman who has made a difference in the lives of those they serve. The selection process and criteria for nominees is specified in detail on this form. Completed nominations must be postmarked by July 15, 2016 to be considered. We encourage you to support this program as an official Florida Women’s Hall of Fame sponsor. In turn, we would like to recognize your organization in our program, fliers and website. Please contact the FCSW office at (850) 414-3300, fax (850) 921-4131, or e-mail FCSW Executive Director, Kelly Sciba at [email protected]. You may also support this event by listing the date in your organization’s newsletter and other publications. Thank you in advance for your support of the Florida Women’s Hall of Fame. Sincerely, Patti Hamilton, Chair Florida Commission on the Status of Women 1. General Information Nominee’s name: _________________________________________________________________________ Former name: _________________________________________________________________________ Please check one: Contemporary (living) ________ Historical (deceased) _________ Date of Death: ___________________ Date of Birth: __________________________ Place of Birth: _____________________________ Years nominee resided in Florida: ____________________________________________________________ For contemporary nominees: Mailing address: _______________________________________________________________________ _______________________________________________________________________ Telephone: Home: ____________________Work: __________________Cell: __________________ E-mail: _________________________________________________________ Nominator’s name*: ____________________________________________________________________ Mailing address: ________________________________________________________________________ ________________________________________________________________________ Telephone: Home: ____________________Work: __________________Cell: ___________________ E-mail: _________________________________________________________ *If the nominator is an organization, please provide written organizational approval on official letterhead. Please provide two references from individuals who are knowledgeable of the nominee's achievements and character: Name: ______________________________________________ Phone: ____________________ Organization: _________________________________________ Email: _____________________ Address: ____________________________________________________________________________________ Name: ______________________________________________ Phone: ____________________ Organization: _________________________________________ Email: _____________________ Address: ____________________________________________________________________________________ (Continued on reverse.) Florida Women’s Hall of Fame 2. Summary Statement Provide a summary statement, (twenty-five words or less) of the nominee that demonstrates her outstanding accomplishments and contributions. 3. Biographical Sketch Please attach a brief biography of the nominee that includes her major achievements and contributions to her community, as well as awards and honors received by the nominee. Include a description of the nominee’s connection to Florida (examples: born and raised in the state, educated here, most notable achievements in the state, etc.) Sketch may be in resume form. You may include supporting materials. 4. Descriptions of Qualifications In a narrative summary of not more than four single-spaced, 12-point typed pages, please identify and expand upon the nominee’s achievements and contributions. In your own words, state what the nominee accomplished during her lifetime either for the improvement of life for women and all citizens of Florida. Among the topics the narrative statement should address are: how the nominee has made significant and enduring contributions to her field(s) of endeavor; the specific ways in which the nominee has elevated the status of women and helped open new frontiers for women or for society in general; and how she has inspired other by her example. 5. Supportive Materials (optional) Nomination packets may include essential supporting documents such as pertinent newspaper and magazine article, primary works, and letters of recommendation. (Note - nominees will be selected by merit, not endorsement.) Please include only essential supporting documents that communicate the nominee’s accomplishments as concisely and directly as possible. NO STAPLES PLEASE! Please submit THREE COPIES of this form, summary statement, biographical sketch, description of qualification, and THREE COPIES of all other supporting materials, in addition to the originals to: Florida Commission on the Status of Women Attn: Women’s Hall of Fame Committee 107 West Gaines Street Tallahassee, FL 32301 Nominations may be submitted electronically by e-mail to [email protected]. Please include all portions of the nomination in .pdf format. Call the Florida Commission on the Status of Women Office at 850-414-3531 for additional information. All nominations must be postmarked by July 15, 2016 and cannot be returned. Late or incomplete nominations may not be accepted. Florida Women’s Hall of Fame Since 1982, the Florida Commission on the Status of Women, through the Florida Women’s Hall of Fame, has recognized and honored women who, through their works and lives, have made significant improvement of life for women and for all citizens of Florida. The Florida Women’s Hall of Fame is located on the Plaza Level in the rotunda of the Capitol building where a bronze plaque with an image and biographical sketch of each member of the Women’s Hall of Fame hangs in tribute. The Commission will accept all nominations for the 2017 Florida Women’s Hall of Fame postmarked by July 15, 2016. The Commission will recommend, to the Governor of Florida, ten outstanding women from whom up to three will be chosen for induction. Inductees will be recognized at a special ceremony in March 2017. Criteria for Selection Nominees may be contemporary (living) or historical (deceased), and will be selected by merit, not endorsement. She must have: .been born in or have adopted Florida as her home state and base of operation; .made a significant and enduring contributions to her fields of endeavor, elevated the status of women, helped open new frontiers for women and for society in general, and inspired others by her example; and .through her life and works, made significant contributions to the improvement of life for women and all citizens of Florida. Immediate family of current members of the Florida Commission on the Status of Women are not eligible. When choosing someone to honor, consider the following questions: .Is the community and/or state better for the contributions of the nominee? .Are people in general better because of the accomplishments of the nominee? .Are women in Florida, the region, and/or the United States better, has their status improved, or have opportunities increased for women because of the life and contributions of the nominee? and/or .Is the nation, world or particular discipline, profession, or field better because of the contributions of the nominee? General Rules The Florida Women’s Hall of Fame is open to all women of Florida regardless of race, color, national origin, physical challenge, religious or political affiliation, except current members of the Florida Commission of the Status of Women and their immediate families. .Awards may be posthumous. .Only nominations postmarked by July 15, 2016 will be accepted. .Prior nominations may be resubmitted. Nominations selected as finalists by the committee will be automatically resubmitted for the next year. .Only nominations submitted on this official nomination form will be accepted. Incomplete nomination forms may not be forwarded to the Committee for review. .All materials sent with the nomination form become the property of the Florida Women’s Hall of Fame and will not be returned. .This original nomination form and any other included material must be submitted with two additional copies. .Please do not staple or bind your nomination materials. Members of the Florida Women’s Hall of Fame 2016 Inductees 2006 Inductees 1995 Inductees Carol Jenkins Barnett Caridad Asensio Evelyn Stocking Crosslin, M.D. Helen Aguirre Ferré Tillie Kidd Fowler JoAnn Hardin Morgan

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